Shukla, Gunjan J
Shukla, Gunjan J is an individual health care provider with primary practice located at 20 Prospect Ave Suite 701, Hackensack NJ 07601-1997. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Shukla, Gunjan J can be contacted via phone (201) 996-2997.Contact Information
Primary practice address
20 Prospect Ave Suite 701
Hackensack NJ 07601-1997
Phone: (201) 996-2997
Fax: (201) 996-2571
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 212477 | Massachusetts |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25MA08120200 | New Jersey |
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 241443 | New York |
Profile Details
| NPI number | 1861487431 |
|---|---|
| LBN Legal business name | Shukla, Gunjan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 20th, 2005 |
| Last updated | Jul 2nd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861487431 | NPPES |
| New Jersey | MEDICAID | 0130745 | |
| New Jersey | MEDICAID | 2030390 | |
| New Jersey | Other | 0155478 |
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